APPLICATION SEARCH ORDER FORM - PRINT AND MAIL THIS ORDER FORM
Complete sign and mail order form with payment. Forms not signed will be discarded.
If field does not apply, leave blank. If you need additional fields, fill out custom field and print legibly…

Please use the fields below to include all information pertaining to your order. Information which is not relevant to your order will automatically be purged when your order is completed. Enclose any further info if needed.
HIGH SCHOOL:  $169.00  NOW ONLY $99.00

NAME OF STUDENT:                                                                      NAME OF SCHOOL:  

 

CITY:                                                                                         STATE/PROV/COUNTRY:

 

YEAR OF GRADUATION:  MONTH/DAY/ CENTURY AND YEAR                                                     M/F                                                

 

G.E.D.  DIPLOMA:  $169.00  NOW ONLY $99.00

NAME OF STUDENT:                                                                     NAME OF SCHOOL:    

 

CITY:                                                                                         STATE/PROV/COUNTRY:

 

HOME SCHOOL DIPLOMA:  $169.00  NOW ONLY $99.00

NAME OF STUDENT:                                                                     NAME OF SCHOOL:    

 

CITY:                                                                                         STATE/PROV/COUNTRY:

 

YEAR OF GRADUATION:  MONTH/DAY/ CENTURY AND YEAR                                                     M/F                                                
 


 

YOUR SIGNATURE:
 


 

     Payment: US Funds US$99.00 + $9.00 Shipping & Handling Total Due: $108.00 RUSH ORDERS (CASH ONLY ) ADD $25.00 

     Cash ___Or Traveler Checks___RECOMMENDED FOR FASTEST SERVICE  International Bank Draft or International Money Orders____

We DO NOT accept personal checks or US post office local money orders.
We do accept US post office  INTERNATIONAL MONEY ORDERS

                                                    
All checks will be held for 30 days and order shipped after clearance.
  


PLEASE SHIP MY PRODUCT TO MY
ADDRESS BELOW!
 

Name:
 

Address:

City:

State/Province:

Zip:
 


Country:                         E-mail Address: _________________________________________   Phone Number: _______________________
 

Terms and Conditions:  I state, I am the person whom I represent myself to be herein, and I affirm the information within this product application is complete and accurate. I represent, warrant and covenant that: I am at least eighteen years of age and have the full right and authority to enter into this Agreement. I do not reside in any country to which export of print design products are prohibited or restricted. I will not use any of the custom software designs in any manner prohibited by any laws, restrictions or regulations. My use of the custom design prints does not violate any applicable law or regulation of the country, state, or other   governmental entity in which I reside.  I shall be solely responsible for use of the original designs and agree that I must satisfy myself that all necessary rights or consents regarding any of the above, as may be required for reproduction, have been obtained. I agree I am solely responsible for determining whether my use of any custom software designs created for your own personal or business use requires the consent of any other party or the license of any additional rights. I without reservation or restriction understand fully that this product is not representative of any government affiliation, local, state, or federal and no Original software design is issued by any government administration and is not an official legal substitute for any product issued by any official government or administration or substitute for such. I understand all content on this Site, including, but not limited to, text, images, illustrations, audio clips, and video clips, is protected by copyrights, trademarks, service marks, and/or other intellectual property rights worldwide copyright laws and treaty provisions, privacy and publicity laws, and communication regulations and statutes. Internet Cash shall not be responsible for loss or damage to products for for delays in due to circumstances or causes beyond its control, nor does it assume any responsibility whatsoever for delay due to failure of transportation communication. I expressly acknowledge that the decision to grant or deny this product order is a decision of issuer to which the application is made, and as such is outside the control of Internet Cash. Internet Cash disclaims any liability for losses, damages, forfeitures of deposit or expenses, damages of any kind whatsoever incurred by in the event the product order applied for is denied or not obtained within a stated time period.  I acknowledge that the responsibility for the accuracy of the information contained in the applications is solely mine, and I hereby authorize Internet Cash on my behalf to order any custom product order required by me through it's affiliates and representatives agencies.  I am ordering these designs for my own amusement, and understand and agree it is not to be used for any official purpose, or to use, deal with or act upon it as if they were genuine, or to induce any person by the belief that it is genuine. Internet Cash disclaims any responsibility for accuracy or release of information or contents of any order, therefore. Fees are non-refundable for any custom order, even if the request is denied by its official representative, and  reserves the absolute right to refuse service to any individual for any reason and does not have to provide reason. I agree to these terms and conditions. I understand all content is owned and controlled by the designers and affiliates, or by third party content providers, merchants, sponsors and licensors that have licensed their content or the right to market their products and/or services to Internet Cash.  Content on this Site, operated, licensed or controlled by the Providers is solely for my personal, non-commercial use. I understand any third party agency may require a nominal fee for completion of any custom order, and I agree to pay this fee directly to the agency. I agree to abide by all additional copyright notices, information, or restrictions contained in any Content. They are not officially issued for any commercial purpose. I understand that I may not copy, reproduce, republish, upload, post, transmit, distribute, and/or exploit the custom software design product  in any way for any official purpose. All rights reserved. This site expressly disclaims any indication that it is an authorized dealer or agent of any of the designs whose products are featured on this site. The use or mention of any tradename, product name, image or trademark in this web site is in no way intended to suggest that the trademark owner is at all affiliated with or endorses this site. Copyright & Disclaimer All images are trademarks or registered trademarks of original issuing agent, and are for reference only. I understand that purpose is for my own educational and amusement purpose only. Internet Cash does not provide any warranties of merchantability for a particular purpose. Internet Cash shall not be liable under any theory or for any damages suffered by the bearer of any product I order. I further affirm and attest that my signature below serves as evidence that I, the bearer/purchaser, agree to the aforementioned agreement in its entirety. I understand this product can not be used for real, legal or official purposes of any kind. I understand that use of the custom software design content for any purpose other than personal, non-commercial use, may violate local and international laws, property rights and proprietary rights of the content owners and is prohibited. I fully understand that I may not use any registered or unregistered trademarks, design marks or copyrighted materials, including but not limited to any logos or characters, without the express written consent of the owner of the mark or copyright. I warrant and represent to us that I will not use this custom software design product for any purpose that is unlawful or prohibited by these terms. I shall maintain personal security, numbers, and/or passwords in confidence and I agree not to distribute or disclose the same to third parties or for any official purpose. I agree that I will not alter, deface, photocopy, and reproduce any custom design software  image or template in any way shape or form for illegal use. I further agree to accept full and complete responsibility for the purchase, use or misuse of any product. I understand that you will not be responsible for any orders that are not filled correctly or mailed to any address not in my own name. 

By signing below, you do hereby certify and acknowledge
that you have read this agreement, understand it, and agree to be bound by its terms and conditions.

    
____________________  X
_____________________     _____________________    

       Name                             Signature                      Date

NO FEDEX, UPS OR PRIVATE COURIER ACCEPTED.     USE YOUR LOCAL POST OFFICE MAIL OR COURIER
Global Priority or Express Mail For Fast Delivery

                             

PLEASE MAKE YOUR PAYMENT OUT TO:  CNB  AND  MAIL YOUR ORDER FORM TO:            
 
                                                                                                                                           

GLOBAL

34152 STN D
VANCOUVER, BC
CANADA V6J 4N2